Pediatric nursing worksheet with answers

Free printable Pediatric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?

  1. AIntravenous immunoglobulin (IVIG)
  2. BInsulin and fluids
  3. CAntiviral medicine such as aciclovir
  4. DOral antibiotics for 10 days
2.Easy

In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?

  1. AAxillary, with an electronic thermometer
  2. BRectal, with a glass mercury thermometer
  3. CBy touching the forehead with a hand
  4. DOral, under the tongue
3.Easy

By about what age does the Moro (startle) reflex normally disappear?

  1. AAbout 2 to 3 years
  2. BAbout 4 to 6 months
  3. CAbout 12 to 15 months
  4. DAbout 2 to 4 weeks
4.Medium

A child with tetralogy of Fallot suddenly becomes very blue and breathless while crying. Which position helps?

  1. ASitting with the legs hanging down
  2. BKnee–chest position (or squatting)
  3. CFlat on the back
  4. DHead-down tilt
5.Medium

Which signs suggest a child is ready to start toilet training?

  1. AStaying dry for about 2 hours, showing interest and being able to follow simple instructions
  2. BBeing able to walk
  3. CSaying the first word
  4. DReaching the first birthday and being able to walk, whether or not the child shows any interest
6.Medium

Which finding at a 2-year check most needs a speech and language referral?

  1. AThe child prefers to play beside other toddlers
  2. BThe child is not yet combining any two words
  3. CThe child says "no" to most suggestions
  4. DThe child uses about 50 words or more
7.Hard

A healthy breastfed baby has lost 7% of her birth weight on day 3. What is the best interpretation?

  1. AThis is severe dehydration and needs immediate IV fluids
  2. BThis shows breastfeeding has failed, so formula should replace breast milk from now on
  3. CThis is within the usual range; observe a feed and follow the weight
  4. DThis weight loss is only normal in formula-fed babies
8.Hard

An infant on digoxin has vomited twice. The apical pulse is below the limit set by the prescriber. What should the nurse do?

  1. AWithhold the dose and inform the prescriber
  2. BGive the dose and recheck the pulse in an hour
  3. CGive the dose with milk to stop the vomiting
  4. DGive half the dose to be on the safe side

Answer key

  1. 1. A · Intravenous immunoglobulin (IVIG)
  2. 2. A · Axillary, with an electronic thermometer
  3. 3. B · About 4 to 6 months
  4. 4. B · Knee–chest position (or squatting)
  5. 5. A · Staying dry for about 2 hours, showing interest and being able to follow simple instructions
  6. 6. B · The child is not yet combining any two words
  7. 7. C · This is within the usual range; observe a feed and follow the weight
  8. 8. A · Withhold the dose and inform the prescriber

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